论文部分内容阅读
本文报告用氩激光小梁成形术(ALT)治疗79例105眼开角型青光眼的4年疗效。总有效率78%,平均眼压下降10.04mmHg,4年内疗效稳定。全部病例均为最大耐受量药物治疗无效拟作滤过性手术者,ALT 术后83%病例在4年内可避免作滤过性手术。失败的23眼中有21眼在 ALT 术后半年内眼压回升,另2眼在第3年回升,18眼(17%)须作滤过性手术。ALT 术后42.9%的病例其用药种数减少。年岁较大(>60岁)、眼压<30mmHg、且病情较轻者则疗效较佳;严重损害的晚期青光眼(C/D≥0.9,视野<20°)对 ALT 的反应差,近60%在 ALT 术后仍须作滤过性手术。
This article reports the 4-year efficacy of argon laser trabeculoplasty (ALT) in 79 patients with 105 open-angle glaucoma. The total effective rate of 78%, the average intraocular pressure decreased 10.04mmHg, 4-year efficacy and stability. All cases were the maximum tolerated drug therapy was intended to be filtrated surgery, 83% of patients after ALT can be avoided in 4 years for filtering surgery. Twenty-one of 23 failed eyes recovered intraocular pressure within six months after ALT, while the other two recovered at year 3, while 18 (17%) were required to be surgically surgically treated. 42.9% of ALT cases after the use of drugs to reduce the number. Older (> 60 years old), intraocular pressure <30mmHg, and the less severe cases are better; severe damage to advanced glaucoma (C / D≥0.9, visual field <20 °) poor response to ALT, nearly 60 % ALT surgery still need to be done after surgery.